Atopic Topics
Blog Address: http://blogs.medscape.com/garystadtmauer
August 26, 2017

The Patient Who Embraced Oral Allergy Syndrome

This falls under the title of quirky patient encounters.  A young man with spring hayfever had typical oral allergy symptoms to a variety fruits.  He also had an interest in cooking and when he enrolled in culinary school decided to pay homage to his passion (food) and his problem (OAS) by getting a tattoo.  There are, of course, less invasive ways to recall the common OAS-triggering foods (AAAAI OAS Webpage) or my recent Medscape article on the topic.  

Posted By: Gary Stadtmauer  

April 13, 2017

The Curious Case of the 30 Year Itch

A 68 year old man presented for evaluation of a localized pruritis of the left lateral elbow as well as the posterior scalp.  There is no visible rash.  He has seen a number of doctors over the years including allergists and dermatologists.  Various steroid creams and other topical therapies have not proven effective.  The sensation is present throughout the day with no trig...

Posted By: Gary Stadtmauer  

March 24, 2017

Thoughts on GERD and Nasal Symptoms

Medscape News is now highlighting a recently published article entitled Association of oral antireflex medication with laryngopharyngeal reflux and nasal resistance.  GERD and allergy symptoms is hardly a new topic.  Symptoms overlapping with allergy and asthma are common in pat...

Posted By: Gary Stadtmauer  

February 19, 2017

The Mouse That Roared: Mouse Bite Anaphylaxis

Cats and Dogs, beloved pets (and major allergens), sometimes bite their owners.  Although sometimes this is due to an aggressive animal, it may also occur during play.  Many of the humans bitten are, in fact, allergic to their pets yet there is but 1 case of cat bite anaphylaxis in ...

Posted By: Gary Stadtmauer  

January 18, 2017

Are 1/3 of Adult Asthmatics Misdiagnosed?

In Reevaluation of Diagnosis in Adults With Physician-Diagnosed Asthma, Dr Shawn Aaron and colleagues of the Canadian Respiratory Research Network looked at physician-diagnosed asthma in 600 subjects.  The patients had all been diagnosed in the preceding 5 years.  Patients on oral steroids or t...

Posted By: Gary Stadtmauer  

October 18, 2016

Food-specific IgG4 in Esophageal Biopsies is associated with eosinophilic esophagitis

IgG4 might be irrelevant for defense against pathogens but it is a marker of evolving tolerance in atopic diseases (venom allergy and peanut allergy).  Since IgE testing for food in eosinophilic esophagitis has proven unhelpful...

Posted By: Gary Stadtmauer  

September 16, 2016

On ABAI recertification

The Allergy boards are next week and if you're certifying for the first time, good luck.  If recertifying, you won't need as much good fortune since the pass rate is much better (98%).  That is a great relief to people like me who are mid-career and are good at what they do but don't routinely work with all the entire spectrum of patients in our broad field.  I don't mind the exa...

Posted By: Gary Stadtmauer  

July 15, 2016

Novel Approach for a Nasal Polyp Patient Who Would Not Use Nasal Sprays

Allergists know that many people do not like nasal sprays.  For some it is irritative and for others it is just unappealing aesthetically.  Whatever the case this is a limiting factor in treatment.  For allergic rhinitis patients there are alternatives including allergen immunotherapy but for nasal polyp patients, other than a leukotriene modifier (LTM) (which might help a bit), ...

Posted By: Gary Stadtmauer  

June 2, 2016

UK Restaurant owner sentenced to prison after death of peanut allergy customer

A patient with peanut allergy died after ordering a peanut-free chicken tikka masala.  His mother stated that he was always extremely careful about managing his peanut allergy yet he was found at home, slumped over in the bathroom, dead of anaphylactic shock?  This is a sadly familiar tale but with a twist. The cause could have been accidental cross-contamination or order mixup in the...

Posted By: Gary Stadtmauer  

May 6, 2016

Hives and Joint Pains after Tick Bite---then a middle of the night anaphylactic reaction

A 50 year old woman presented for evaluation of an anaphylactic reaction.  Last week she awakened at 2 a.m. with mouth and tongue swelling, hives, hoarseness, cramping and diarrhea.  The itching was intense. Her husband called 911 and she had a prompt response to intramuscular epinephrine. She had no prior reactions and ate no new foods.  Earlier that evening she had a meal consi...

Posted By: Gary Stadtmauer  

 
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About This Blog

This blog is about allergy from my perspective as a private-practice doctor who teaches, occasionally publishes, and also works in human rights. After over 10 years in practice, it is clear to me that a better understanding of sinus disease and functional laryngeal disorders is required to be an allergy and respiratory disease specialist. I will share my insights with you as I try to bridge the divide between bench and bedside as well as between allergy and otolaryngology. Like my medical practice, this blog is about the clinical, ethical, and health economics issues of the day. Your thoughts and comments are always appreciated.
Disclosure: Gary J. Stadtmauer, MD, has disclosed no relevant financial relationships.

Poll: What is the cause of this patient's rash? Linear IgA Disease|Bullous Sweet's Syndrome|The antibiotic|Mycoplasma |More than one answer is possible|

  • Gary Stadtmauer

    Dr. Gary Stadtmauer is a New York native and a graduate of the Albert Einstein College of Medicine. He trained in internal medicine at St. Luke's Hospital and allergy-immunology at Mount Sinai Medical Center, both in New York City. He holds a voluntary faculty appointment at Mount Sinai School of Medicine where he teaches in the allergy fellowship program. He also maintains a private practice in Manhattan. Dr. Stadtmauer runs an educational Website, www.cityallergy.com, which is dedicated to both patient and physician education about allergy topics with an emphasis on respiratory disorders. Outside of allergy, Dr. Stadtmauer's other professional activity is as a volunteer physician with the human rights clinic Healthright International.

The content of this blog does not necessarily reflect the viewpoints of Medscape.
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